Provider Demographics
NPI:1992712525
Name:BOYETT, BARBARA JOANNE (PT)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:JOANNE
Last Name:BOYETT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21938 ROYAL MONTREAL DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5142
Mailing Address - Country:US
Mailing Address - Phone:281-944-0001
Mailing Address - Fax:281-944-0002
Practice Address - Street 1:21938 ROYAL MONTREAL DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-5142
Practice Address - Country:US
Practice Address - Phone:281-944-0001
Practice Address - Fax:281-944-0002
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1084994225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T4661OtherBCBS PROVIDER NUMBER
TX8T4661OtherBCBS PROVIDER NUMBER